Active NPI
Keith Philip Hayes, LMT/CNMT
- Specialist
- Albuquerque, NM
National Provider Identifier
1508040155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5111
- Practice address
- 2509 Vermont St NE
St. C #104
Albuquerque, NM 87110-4688 - Phone
- (505) 417-9491
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5111 | NM | Primary |
Addresses
Primary practice location
2509 Vermont St NE
St. C #104
Albuquerque, NM 87110-4688
Mailing address
2509 Vermont St. NE
St. C #104
Albuquerque, NM 87110
Phone (505) 417-9491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5111 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1508040155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 VERMONT ST. NE",
"address_2": "ST. C #104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87110",
"telephone_number": "505-417-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 VERMONT ST NE",
"address_2": "ST. C #104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104688",
"telephone_number": "505-417-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KEITH",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "LMT/CNMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "5111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.